{"created":"2023-06-19T11:21:30.579798+00:00","id":1737,"links":{},"metadata":{"_buckets":{"deposit":"6e83543b-e712-4890-b450-d82f2b2ac065"},"_deposit":{"created_by":3,"id":"1737","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"1737"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00001737","sets":["7","7:23"]},"author_link":["5318","5319","5320","5321","5322","5323","5324"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2003-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"13","bibliographicPageEnd":"1730","bibliographicPageStart":"1727","bibliographicVolumeNumber":"45","bibliographic_titles":[{"bibliographic_title":"皮膚科の臨床"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"62歳男.高血圧,糖尿病があり,脳梗塞に対して抗凝固療法を受けていた.狭心症の疑いで心臓カテーテル検査及び経皮的冠動脈拡張術を施行したところ,両下腿から両足趾にかけて紫紅色斑,疼痛が出現し,更には亀頭及び陰嚢に潰瘍,壊死を生じた.病理組織学的に真皮深層の血管内腔に針状ないし紡錘形の裂隙を伴った塞栓像を認め,コレステロール結晶塞栓症(CCE)と診断した.種々の保存的治療に抵抗し,両足趾は壊疽となった.二次感染を繰り返しながら徐々に壊疽が拡大したため,両足関節部切断術を施行した.しかし,手術断端に壊死を生じ,両大腿部で再度切断術を施行した.その後,現在まで再発はない.CCEに伴う栄養動態の変化が糖尿病のコントロールに影響した可能性があり,皮膚症状のみの場合であっても,内科・循環器科など他科との連携のもと全身的治療が必要であると考えられた","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"出版社版","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0018-1404","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2004127361"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2281"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2069"}]},"item_5_text_7":{"attribute_name":"著者 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